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SNFs and the 3-Day Stay

The recent recommendation from the Medicare Payment Advisory Commission (MedPAC) that the “three-day stay” rule be relaxed is welcome news for many skilled nursing facilities (SNFs). Not only did the commission recommend that up to two outpatient observation days be counted toward the three-day requirement, it also asked Congress to mandate that hospitals communicate better with patients about their status as an outpatient or inpatient and how it might impact their benefits in a skilled nursing facility. (To be clear, the three-day rule is not to be confused with the two-midnight rule, to which CMS has recently proposed changes.)

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Value-based payment models could lead to preferred post-acute networks

“Hospitals are seeking to hold post-acute-care providers accountable because they have more at risk under value-based payment models,” according to a May 9 story in Modern Healthcare. The story reports on a growing number of hospital systems moving to evaluate post-acute facilities based on a variety of measures. Read more